NPIMap

Organization Active NPI

Air Evac EMS Inc

Doing business as Air Evac Lifeteam

  • Air Ambulance
  • Altus, OK
National Provider Identifier
1235112426
Registry record updated Jul 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Air AmbulanceTaxonomy code 3416A0800X
Legal business name
AIR EVAC EMS INC
Doing business as
Air Evac Lifeteam
Practice address
6333 N Main Street
Altus, OK 73521
Phone
(877) 288-5340
Fax
(417) 257-5761
NPI assigned
Nov 22, 2005
Last updated
Jul 8, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
AIR EVAC EMS INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 8, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Eric Thomas
Title
SVP of Revenue Management
Phone
(877) 288-5340

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Air Ambulance 3416A0800X NU Primary

Addresses

Primary practice location

6333 N Main Street
Altus, OK 73521

Mailing address

PO Box 106
West Plains, MO 65775-0106
Phone (888) 807-9189

Other identifiers 1

IdentifierTypeStateIssuer
AEL-006 MCALESTEROtherBASE ID

Other names 1

  • Air Evac Lifeteam Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040730001084 OK Part B Supplier - Ambulance Service Supplier 8123931755 19 other NPIs on this enrollment
Practice locations: Woodward, OK; Weatherford, OK; Seminole, OK; Ponca City, OK; Pauls Valley, OK; Muskogee, OK; Kingfisher, OK; Idabel, OK…

Other NPIs with the same Medicare PAC ID 14

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 14

Other NPIs on the same Medicare enrollment 19

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 19

National Provider Directory

National Provider Directory
Tax ID family
Air Evac EMS162 organizations share this tax ID, including this one
Part of
Air Evac EMS

Organizations with this tax ID in the same state 16

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 16

Locations

6333 N Main St
Altus, OK 73521
Phone (580) 482-0461

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625702400000",
    "number": "1235112426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 106",
            "city": "WEST PLAINS",
            "state": "MO",
            "postal_code": "657750106",
            "telephone_number": "888-807-9189",
            "fax_number": "417-257-5761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6333 N MAIN STREET",
            "city": "ALTUS",
            "state": "OK",
            "postal_code": "73521",
            "telephone_number": "877-288-5340",
            "fax_number": "417-257-5761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AIR EVAC EMS INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AIR EVAC EMS INC.",
        "enumeration_date": "2005-11-22",
        "last_updated": "2021-07-08",
        "certification_date": "2021-07-08",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "SVP OF REVENUE MANAGEMENT",
        "authorized_official_telephone_number": "877-288-5340"
    },
    "taxonomies": [
        {
            "code": "3416A0800X",
            "taxonomy_group": "",
            "desc": "Ambulance, Air Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BASE ID",
            "identifier": "AEL-006 MCALESTER",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Air Evac Lifeteam",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Air Evac Lifeteam",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Altus, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.